Individual provider · Type 1 NPI

Regina Louise Jackson

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1649460478 Active

Practice location

2616 Nicollet Ave
Minneapolis, MN 55408-1628

Call (612) 871-7878 Map

Fax (612) 871-2567

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301404 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649460478

Regina Louise Jackson's National Provider Identifier is 1649460478, issued on Jul 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 27, 2007.